Morning Meese, I got my copy of “What Happened” yesterday. I’ve read the first 30 pages and have gone through all the emotions…Love, hate, compassion, anger, happiness, sadness, optimism..Just in those first pages you can feel Hillary conveying them in her words. Going to be hell getting through this book I can see already. By page 21 I had already had to pull the tissues out. I think it will be cathartic for all of us to read it as I am sure it was for Hillary writing it. I can see by the time I finish I’ll probably be as angry as I’ve ever been by what has been taken from us but hopefully energized to push forward, stronger together.
The insidious bastards on the right will try anything to ram their crap down our throats…I say bullshit.
What a week…Irma royally fucked up this week. From worrying I was going to end up like Dorothy spinning around in the air and see Fuckin Bernie on his bicycle to having to deal with the aftermath…All is well though, well except that the Donald and Bernie show is still playing to hoards of assholes.
Hillary has brightened up the week by going into her IDGAF mode and it’s glorious…
If you didn't like that book, try this one — some good lessons in here about working together to solve problems. Happy to send a copy. pic.twitter.com/7dmVJ44mZu
Well, I guess we’ll find out come Monday if I will still be around or if my MH blows away which will mean I will be living on the beach. Gonna be an abbreviated missive as I’m not really up to doing much. Been getting bombarded about fucking Irma so much if I never hear the name again I’ll be glad.
Enough of my maudlin crap…Tweet’s is all I got.
Short and to the point thread
Hard fact on the whole "stop fighting 2016" argument: it'll end the second it's clear Bernie Sanders either isn't running, or isn't viable.
With all this talk about healthcare I thought I’d delve into it a little..
There are a few ways that single-payer can work, but at its core it is the government paying for healthcare services through revenue generated via taxation.
Put another way, people who live in a country pay into a pot of money through their taxes. The government then takes this pot of money and pays drugmakers, healthcare facilities, and doctors.
One of the hallmarks of a single-payer system is the ability for the government to have more control over prices.
For instance, in many single-payer systems, the government can negotiate prices for prescriptions drugs since it controls the purse for much of the spending. This makes sense because in the case of the UK, nearly 80% of the healthcare spending comes from the government. So if a drug is not bought by the government, it almost totally closes off the market to a pharmaceutical company. This gives the government a lot of bargaining power.
Payments to healthcare providers, prescription drugs, and other aspects of the system are all subject to price negotiation with the government in single-payer systems.
Across different countries, however, it can take different forms.
Canada’s single-payer system is mostly run by provincial and territorial governments, but is funded heavily by the federal government. The federal government also sets baselines of standards for care at the provincial level.
Healthcare spending per capita (2014): $4,728
Out-of-pocket spending per capita (2014): $644
Percent of GDP spent on healthcare (2015): 10.1% (11th-highest among OECD)
Percent of healthcare costs from the government: 69.8%
The UK technically has four different national healthcare systems, one for each country that makes up the union, but the general construct is known as the National Health System.
Within the NHS, there is a system of smaller community health boards that help ensure that national standards for care, cost, and efficiency are maintained.
For patients, the NHS is generally “free at the point of use,” meaning that when you go to a hospital or doctor’s office there are no bills or co-pays.
The UK pays for all this using both a specific national insurance tax on people making more than £157 per week and general tax funds to provide 98.8% of the funding for the NHS. The other 1.2% is paid for by out-of-pocket costs for things like prescriptions and dental care. The cost of co-payments for the out of pocket procedures are set by the NHS.
Healthcare spending per capita (2014): $4,094
Out-of-pocket spending per capita (2014): $586
Percent of GDP spent on healthcare (2015): 9.8% (13th-highest among OECD)
Percent of healthcare costs from the government: 79.5%
Taiwan’s healthcare system is run through the National Health Insurance Administration and features a premium-based system different from Canada and the UK.
Instead of money taken out of annual taxes, Taiwanese make monthly premium payments based on their payroll income and nonpayroll income. There are also taxes on tobacco and lottery winnings that add money to the system. Premium payments are split between employers, the government, and individuals with adjusted rates based on income levels.
Put another way, instead of taking a chunk of money from overall taxes into the system, the Taiwanese pay a monthly fee from their paychecks that goes directly into the pot.
There is some co-payment and co-insurance that fall on citizens, but these levels are capped based on criteria like the type of sickness or the length of stay in a hospital.
There are two types of coverage in Germany: statutory health insurance (SHI), aka sickness funds, and private health insurance (PHI).
As a way to think of it, the SHIs are more like the single-payer government-funded plans like the UK and Canada, while the PHIs operate like the US system. Since there are two groups, this means the country does not qualify as single payer.
SHIs are made up of nonprofit firms that compete to sign up Germans, funded through a premium-based payroll tax split between the worker and their employer and taxes in the German Health Care Fund. SHI insurers are then reimbursed by the government on a risk-adjusted basis (meaning those that have sicker customers get more, while those with a healthier pool get less). There are some co-payments for care under an SHI, but these are fairly low. For instance, co-pays for prescriptions range from five to 10 euros.
Healthcare spending per capita (2014): $5,119
Out-of-pocket spending per capita (2014): $664
Percent of GDP spent on healthcare (2015): 11.1% (4th-highest among OECD)
Percent of healthcare costs from the government: 74%
On cost, here’s an article I found. Most of the articles I have found read a lot like this though some seem to think that single payer will drive down the overall quality of care. Some seem to think it will never happen because of the pressure doctors,for profit hospitals, drug companies and insurance companies that have a vested interest will fight to keep it the same as it is now.
Thanks to a landmark study in 2013 by Gerald Friedman, Professor and Chairman of the Department of Economics at the University of Massachusetts, we have a solid financial analysis of the costs and benefits of a single-payer national health plan. With NHI, $592 billion would be saved annually by cutting the administrative waste of some 1,300 private health insurers ($476 billion) and reducing pharmaceutical prices to European levels ($116 billion). These savings would be enough to cover all of the 44 million uninsured (at the time of his study) and upgrade benefits for all other Americans, even including dental and long-term care. A single-payer public financing system would be established, similar to traditional (not privatized) Medicare, coupled with a private delivery system. Instead of having to pay the increasing costs of private health insurance, so often with unaffordable deductibles and other cost-sharing, patients would present their NHI cards at the point of service without cost-sharing or other out-of-pocket costs. Care would be based on medical need, not ability to pay.
They’re kidding right…What qualifies Nikki Haley as Sec State…Of course I could ask what qualifies anyone in the WH circus.
Read this thread and have to agree with his assessment. With all the turmoil we’ve put up with because of the idiocy of Trump and the Republicans lack of morals for anything other than to destroy people’s lives I can see people moving to a more centrist view. I believe it will move us forward instead of the backward trend that is trying to get shoved down our throat.
The leftist push by Fuckin Bernie will be looked at as bullshit and pipedreams if for no other reason it’s bullshit and pipedreams. Saying the same thing over and over again isn’t going to go over well in the coming months, and isn’t now, while we are seeing out civil liberties disappearing. His surrogates, Turner,DeMoron and their ilk are doing a fine job of showing everyone that they aren’t the answer, but a hindrance.
If only people weren’t so hardheaded(stupid) and actually listened to Hillary…
Morning meese…another day, much more assholery we’ve had to pushback against.
Having to sift through and take offense with Trump and his colony of racist, misogynistic bigots every single day is bad enough and something that could have been avoided if people had actually read and or listened to Hillary.
It’s when we have to push back against people(read Republican lite) that claim to be progressive liberals when in fact they are nothing but anarchists with the brains the guy in the sky gave to slugs, sorry slugs.
For the life of me I can’t see that anything Bernie Sanders has to say has much if any value. They’re just slogans that unfortunately the lazy liberals have bought into and are now like the mice to the Pied Piper. He keeps up with his stump speech which might sound different on any given day but is always the same thing just said a little differently.
What we have to muffle is the mouths of his mice that are a little smarter than his average mouse but still just as divisive becasue they won’t drink water(pun intended), they just guzzle the kool-aid. Nomiki Konst, Nina Turner, Roseann DeMoron and their ilk are shoved to the front to take on sane liberals because they give Bernie cover. The morons at Dkos that run their mouths should just be avoided. Don’t answer them at all…Just let them run off at the mouth as trying to reason with them is a waste of breath.
Only thing I can think of to shut them down is something I said in one of earlier threads..March on the DNC with petitions or even a physical march calling to our party officials for an end to the Bernie is a liberal voice for Democrats and nothing but a subversive piece of shit.
Imagine dissing Americans –patriots serving our country under difficult conditions in Russia -to praise Putin. Our president did today. https://t.co/KovoLuMISa
This has been on my mind for decades, the Conservatives and their sanctimonious bullshit they pass off as religion. It’s hard to tell if the Conservatives are using religion as their vehicle to get what they want or if the religious nuts are using conservative money and thinking to push their bullshit.
It’s a big part of why I am an atheist though I guess you could say I’ve been like that since I was forced to go to church when I was a kid and then my parents just all of a sudden dropped church for no apparent reason. I digress though…
Think back to the 1970’s and 1980’s…Pat Robertson, Jim and Tammy Faye Bakker, and Jerry Falwell and Jimmy Swaggart to name a few of the crooked televangelists that prey on peoples faith to enrich themselves. They are all hypocrites when it comes to saving anyone but themselves…Kinda reminds you of Fuckin Bernie…Had to..
Then you take the Council For National Policy mentioned in the above tweet by Ms Cohn. Their “secret membership” is a who’s who of rich
social conservative assholes. CNP was founded in 1981 by fundamental Baptist pastor Tim LaHaye. members include past and present are a list of assholes..Paul Weyrich, co-founder of the Heritage Foundation, Pat Robertson, Phyllis Schlafly,Steve Bannon, Kellyanne Conway,Elsa Prince the mother of Erik Prince and Betsy DeVos who are both members and others.
The point is that what we are seeing with the Republicans and Trump is a concerted effort of the conservative religious right trying to take over the country and make it into their view of social and economic norms.You can see it in their views towards women and LGBT and the economics they are trying to shove down our throats.
Disclaimer…I in no way am against religion per se…Everyone has faith in something and religion isn’t a bad thing to have faith in if it’s your personal faith.